Orthopedic Healthcare Ancillary Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES, LLC

Doing business as

Slocum Ambulatory Surgery Center

Practice address

55 Coburg Rd
Eugene, OR 97401-2433

Phone

(541) 485-8111

Fax

(541) 342-6379

NPI assigned

Apr 9, 2007

Organization subpart

Yes

Parent organization

SLOCUM ORTHOPEDICS PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Bauman

Title

Administrator

Phone

(541) 485-8111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Slocum Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Orthopedic Healthcare Ancillary Services LLC Dba Slocum Ambulatory Surgery CenterCCN 38C0001084

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Sports Injury Clinic

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Slocum Orthopedics, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Springfield, OR
  • NPI 1386146405

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald C Jones, MD

  • Orthopaedic Surgery Physician
  • Eugene, OR
  • NPI 1164422390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1679696157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012433",
            "telephone_number": "541-485-8111",
            "fax_number": "541-342-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012433",
            "telephone_number": "541-485-8111",
            "fax_number": "541-342-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLOCUM ORTHOPEDICS PC",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-485-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274618",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slocum Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Orr
• Kendra Orr
• Steven Robert Orr, MA IN ART THERAPY
• Lynn M Orson, LMT
• Ortc, LLC (West Eugene Treatment Center)
• Orthopedic Spinal Associates LLC
• Jesse Ortiz, DPT
• Karen A Ortiz, MD
• Steven Paul Orton
• Amy R Osborn

• Ambulatory Surgical Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.